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General NPI Number Information
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NPI Number | 1588085245
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Entity Type | Individual
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Provider Name | GALE DOLLARD LGPC
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Gender | Female
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Dates
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Enumeration Date | 12/26/2013
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Last Update Date | 12/26/2013
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Provider Practice Location Address
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Address Line | 1200 BRASS MILL RD SUITE A
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City | BELCAMP
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State | MD
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Zip | 21017-1217
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Country | US
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Telephone | 410-935-1489
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Fax |
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Provider Business Mailing Address
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Address Line | 46 BAY CLUB PKWY
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City | NORTH EAST
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State | MD
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Zip | 21901-4711
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Country | US
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Telephone | 813-422-3170
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LGPC5454
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License Number State | MD
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